SOUTH PLAINFIELD, N.J. — All 11 Taco Bells implicated in an E. coli outbreak in New York and New Jersey used the same food distributor, the restaurant chain said Tuesday as health officials tried to pinpoint the source of the dangerous bacteria that sickened at least three dozen people.

Nine people remained hospitalized in New Jersey and New York, including an 11-year-old boy in stable condition with kidney damage.

Taco Bell Corp. said it had sanitized its nine closed restaurants and planned to reopen them on Tuesday. At the same time, spokesman Rob Poetsch said: “We have no indication what the source is. We’re looking into all possibilities.”

The distributor, Texas-based McLane Co., said that Taco Bell representatives and state and federal health inspectors toured the distribution center in Burlington, N.J., that supplied the eight Long Island, N.Y., restaurants and the three in New Jersey.

“It involves tracking your way back and trying to see if by process of elimination you can determine the root cause,” said Bart McKay, a lawyer for McLane.

He said McLane distributes to all Taco Bells in New Jersey and in the New York City area, but he had no estimate on how many that is.

The case has underscored the risk of widespread outbreaks of food poisoning at fast-food chains.

“Fast-food restaurants don’t purchase ingredients down the street at the local farmers market. They purchase food nationally, process it nationally and ship it across the country,” said Carol Tucker Foreman, head of the Food Policy Institute at the Consumer Federation of America.

However, Taco Bell ships its beef-and-bean fillings to restaurants pre-cooked and pre-seasoned to save money, and industry experts said that practice may be safer, because the food is handled by fewer people and is heated twice — once at the plant and once at the individual restaurants.

Vegetarians sickened
New Jersey health officials said their investigation would probably focus on produce, not just meat, because some of the 23 people who ate at New Jersey Taco Bells and were infected with E. coli were vegetarians.

E. coli is found in the feces of humans and livestock. Most E. coli infections are associated with undercooked meat. The bacteria also can be found on sprouts or leafy vegetables such as spinach. The bacteria also can be passed from person to person if they do not thoroughly wash their hands after using the bathroom.

Rates of women who are opting for preventive mastectomies, such as Angeline Jolie, have increased by an estimated 50 percent in recent years, experts say. But many doctors are puzzled because the operation doesn't carry a 100 percent guarantee, it's major surgery -- and women have other options, from a once-a-day pill to careful monitoring.